NPI 1114563541
Heidi Back, RDMSRVT
Practice location
- Address
- 556 Gleneagles Dr, Newark, OH 43055-8644
- Phone
- (740) 973-8038
Registered specialties
Vascular Sonography Radiologic Technologist
Primary
Registry record
- NPI
- 1114563541
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 Nov 2019
- Record last updated
- 20 Nov 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.